<form action="${ctx}/channel/manageExtension" method="post" id="extensionChannel" enctype="multipart/form-data" class="change-error-two-box">
	<div class="form-group form-inline row">
		<div class="col-sm-12">
			<label><span style="color: red">*</span>通道ID：</label>
			<label class="radio-inline">${channel.channelId!}</label>
			<input type="hidden" name="channelId" value="${channel.channelId!}" />
		</div>
	</div>
	<div class="form-group form-inline row">
		<div class="col-sm-12">
			<label><span style="color: red">*</span>到期时间：</label>
			<label class="radio-inline" style="width: 160px;" ><#if channel.endTime?? >${channel.endTime?string("yyyy-MM-dd HH:mm:ss")}<#else>未激活</#if></label>
		</div>
	</div>
	<div class="form-group form-inline row">
		<div class="col-sm-12">
			<label><span style="color: red">*</span>延期月份:</label>
			<select class="form-control" name="extensionMonth" required >
				<option value="">--请选择--</option>
				<#list 1 .. 12 as i>
					<option value="${i}">${i}</option>
				</#list>
			</select>
		</div>
	</div>
	<div class="form-group form-inline row">
		<div class="col-sm-12">
			<label><span style="color: red">*</span>订单号:</label>
			<input class="form-control" type="text" name="orderNum" value="" placeholder="请输入订单号" required maxlength="30" />
		</div>
	</div>
</form>

<script type="text/javascript">
$("#extensionChannel").validate();
</script>